# WAYNE H BLAUER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184812232
- **Authorized official:** DR. WAYNE H BLAUER MD (PRESIDENT)
- **Authorized official phone:** (208) 678-2283

## Contact information

- **Practice address:** 1501 HILAND AVE, STE L3, BURLEY, ID 83318-2682
- **Practice address phone:** (208) 678-2283
- **Practice address fax:** (208) 677-2483
- **Mailing address:** 1501 HILAND AVE, STE L3, BURLEY, ID 83318-2682
- **Mailing address phone:** (208) 678-2283
- **Mailing address fax:** (208) 677-2483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M-4491 | ID | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 06/19/2008